Provider Demographics
NPI:1083764229
Name:LOWTHER, STEPHANIE A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:A
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5240 FIORE TER
Mailing Address - Street 2:APT. 113
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5636
Mailing Address - Country:US
Mailing Address - Phone:619-665-2443
Mailing Address - Fax:619-545-4262
Practice Address - Street 1:601 MCCAINE AVENAVEL BASE CORONADO BLDG
Practice Address - Street 2:BRANCH MEDICAL CLINIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92135-7046
Practice Address - Country:US
Practice Address - Phone:619-545-4282
Practice Address - Fax:619-545-4262
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN01059199A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice